DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

SCHOOL AGE INSPECTION REPORT
Facility Information

TWIN PIKE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC

001779428

(573) 754-4999

500 HALEY AVE
LOUISIANA
MO  63353

TWIN PIKE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC

614 KELLY LN
LOUISIANA
MO  63353-2409

HOSKINS, CHRISTINA

PERKINS, MARY

Noveta.Shepherd@twinpikefamilyymca.org

Incorporated


JOY LYNN NICHOLS

5 YEARS - 13 YEARS

96

SCHOOL AGE

 
Inspection Information

11/19/2020

4:30 PM

5:22 PM

UNANNOUNCED

COMPLIANCE MONITORING

2388434195


DocumentDocument-Date
CERTIFICATE OF INCORPORATION 10/29/2003
JOB RESPONSIBILITIES 07/10/2003
LOCAL FIRE DEPARTMENT NOTIFICATION 10/29/2003
ARTICLES OF INCORPORATION 10/29/2002
DIRECTOR'S JOB RESPONSIBILITIES 09/20/2005
DISCIPLINE POLICIES 09/05/2003
CHILD CARE PRACTICES 07/10/2003
STAFF SHEET 09/19/2019
SAMPLE FORMS 09/05/2003
LINES OF ADMINISTRATIVE AUTHORITY 08/27/2007
POLICIES 09/05/2003
SAMPLE WEEKLY MENU 09/05/2003
DAILY SCHEDULE 06/01/2004
CERTIFICATE OF GOOD STANDING 09/24/2013
DIRECTOR'S QUALIFICATIONS 09/24/2013
EQUIPMENT LIST 11/19/2020
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 11/19/2020
ANNUAL DECLARATION 11/19/2020
APPLICATION 08/22/2019




Inspection determined facility to be in compliance with licensing rules.
Open Violations: NA
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 5
Total Children 14
StaffChildClass AgeNote
2 0 NO CHILDREN IN ATTENDANCE Rebecca Dempsey and Teresa Pedersen, caregivers
1 5 SCHOOL AGE Loretta Woodward
1 3 SCHOOL AGE Robin Ozelius
1 6 SCHOOL AGE Brennon Rule

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 Annual Requirements
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
19 CSR 30-62.102 Personnel
Compliance
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Compliance
19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Compliance
19 CSR 30-62.192 Health Care
Compliance
19 CSR 30-62.202 Nutrition and Food Service
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Compliance
19 CSR 30-63.020 General Requirements
Compliance
19 CSR 30-63.040 Background Screening Findings
Compliance
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance